Provider Demographics
NPI:1730104449
Name:KRUEGER, HILARY MILLER (MD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:MILLER
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DR
Practice Address - Street 2:SUITE 2C
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5248
Practice Address - Country:US
Practice Address - Phone:828-654-6015
Practice Address - Fax:828-687-6058
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100396207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00862375OtherMEDICARE RR
NCD3079OtherMEDCOST
NC1907340OtherUNITED HEALTHCARE
NC89128WHMedicaid
NC128WHOtherBLUE CROSS BLUE SHIELD
NC89128WHMedicaid
NC2284756BMedicare PIN
NC89128WHMedicaid